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Individual

JWAN BAHNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1347 HAUSMAN RD, ALLENTOWN, PA 18104-9063
(610) 573-2500
Mailing address
4830 MATTS DR, BETHLEHEM, PA 18017-8435
(602) 881-9655

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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